Individual
JENNIFER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
301 TOFTREES AVE, 345, STATE COLLEGE, PA 16803-2074
(616) 481-0594
Mailing address
301 TOFTREES AVE, 345, STATE COLLEGE, PA 16803-2074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012846
PA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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